Kelly, Tim

Kelly, Tim is an individual health care provider with primary practice located at 2316 5Th Ave , Moline IL 61265-1530. He recently has 4 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Community Health Worker, Other Service Providers / Health Educator, Technologists, Technicians & Other Technical Service Providers / Phlebotomy. Other Service Providers / Health Educator is his primary health care specialty. Kelly, Tim can be contacted via phone (309) 762-5433.

Contact Information

Primary practice address
2316 5Th Ave Moline IL 61265-1530
Phone: (309) 762-5433
Fax: (309) 762-4481
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Other Service Providers / Community Health Worker 172V00000X
Other Service Providers / Health Educator 174H00000X
Technologists, Technicians & Other Technical Service Providers / Phlebotomy 246RP1900X

Profile Details

NPI number 1568875631
LBN Legal business name Kelly, Tim
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2014
Last updated Jun 6th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers